A bill for an act relating to insurance coverage for the maintenance and repair of complex rehabilitation technology wheelchairs.
Impact
The implementation of HF500 is significant for both patients and suppliers as it removes bureaucratic barriers typically imposed by insurance companies. By ensuring that third-party payors cannot demand prior authorization for wheelchair service and maintenance, the bill promotes timely access to necessary repairs and maintenance for individuals reliant on specialized wheelchairs. Additionally, the bill brings forth a requirement for these suppliers to provide annual preventative maintenance, which is crucial for ensuring the ongoing functionality and safety of these assistive devices.
Summary
House File 500 pertains to insurance coverage related to the maintenance and repair of complex rehabilitation technology wheelchairs. The bill specifically mandates that beginning January 1, 2026, qualified suppliers providing these wheelchairs must offer services and repairs whenever requested by the patient or their prescribing healthcare professional. Importantly, it prohibits third-party payors from requiring prior authorization or ongoing documentation of medical necessity to facilitate these services, effectively streamlining the process for patients who depend on these technologies.
Contention
While the bill is designed to enhance the accessibility and reliability of wheelchair services, it may also spark discussion regarding the financial implications for third-party payors and suppliers. Critics might voice concerns about the sustainability of financing these services without the checks typically imposed by prior authorizations. Additionally, while the bill aims to ensure comprehensive care for patients, there might be apprehensions regarding the implications for suppliers who must balance their operational costs with the new mandates enforced by HF500.
A bill for an act relating to Medicaid-related programs and services including the work without worry program for employed individuals with disabilities and complex rehabilitation technology.(Formerly HF 403, HSB 198.)
Requires manufacturers of assisting technology devices to make available to independent repair providers/the owner of the device, any documentation/parts, software/other items intended for use with the equipment/parts, including updates to software.
Provides that original power wheelchair equipment manufacturers would be required to provide to independent service providers repair information and tools to maintain and repair original power wheelchair equipment.
AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 47, Chapter 18; Title 56; Title 68 and Title 71, relative to complex rehabilitation technology.
AN ACT to amend Tennessee Code Annotated, Title 4; Title 8; Title 47, Chapter 18; Title 56; Title 68 and Title 71, relative to complex rehabilitation technology.